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Contact Information

WHITE DRUG CO OF JAMESTOWN INC
387 11TH ST S OFC 2
WAHPETON, ND58075-4677
 Phone: 701-642-2336
 Fax: 701-642-1470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WHITE DRUG CO OF JAMESTOWN INC

NPI Number 1477997005
LBN Legal business name WHITE DRUG CO OF JAMESTOWN INC
Authorized official ANNE FROISTAD - (LICENSING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2013
Last updated 10/29/2024 - More than a year ago
Identifiers
MN License # 264151
ND License # PHAR475
SD License # 400-1117
MN Medicaid 1477997005
ND Medicaid 1450550 RX
ND Medicaid 1456257 DME
Other 2140137 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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